Individual provider Active NPI

Joshua R Modlin, DPM

  • Podiatrist
  • Los Banos, CA
National Provider Identifier
1912285479
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E6269 Issued in CA
Practice address
311 W I St
Los Banos, CA 93635-3479
Phone
(209) 826-2222
Fax
(209) 826-2599
NPI assigned
Aug 1, 2011
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E6269 CA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 073866 IA
Foot & Ankle Surgery Podiatrist 213ES0103X POD001062 AZ

Addresses

Primary practice location

311 W I St
Los Banos, CA 93635-3479

Mailing address

311 W I St
Los Banos, CA 93635-3479
Phone (209) 826-2222

Other practice location 1

311 W I St Ste B
Los Banos, CA 93635-3479
Phone (209) 826-2222

Other practice location 2

400 W I St
Los Banos, CA 93635-3459
Phone (209) 827-9999

Other practice location 3

1549 Golden Gate Ave
Dos Palos, CA 93620-2329
Phone (209) 392-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140702001526 IA Practitioner - Podiatry 3476728809
I20230105002349 AZ Practitioner - Podiatry 3476728809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1831 E Queen Creek Rd
Chandler, AZ 85286-2019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue248
Removal or shaving of skin growth80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
POD001062AZMDFoot & Ankle Surgery Podiatrist
073866IAMDFoot & Ankle Surgery Podiatrist
4960CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Clinics of Arizona Podiatrist CurrentSince Dec 1, 2022 Accepting new patients
Dr Robert Eells PC Past Accepting new patients
Dos Palos Apex Health Center Inc Past Accepting new patients
Emergency Foot Care LLC Podiatrist Past Accepting new patients

Locations

421 E Cottonwood Ln
Casa Grande, AZ 85122

1831 E Queen Creek Rd
Chandler, AZ 85286
Phone (480) 216-4395

1501 N Gilbert Rd
Ste 207
Gilbert, AZ 85234
Phone (480) 389-1061

21300 N John Wayne Pkwy
Ste 116
Maricopa, AZ 85139
Phone (520) 423-9699

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72450

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1912285479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353479",
            "telephone_number": "209-826-2222",
            "fax_number": "209-826-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353479",
            "telephone_number": "209-826-2222",
            "fax_number": "209-826-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 W I St Ste B",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353479",
            "country_code": "US",
            "telephone_number": "209-826-2222",
            "fax_number": "209-826-2599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W I St",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353459",
            "country_code": "US",
            "telephone_number": "209-827-9999",
            "fax_number": "209-827-9998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1549 Golden Gate Ave",
            "address_purpose": "LOCATION",
            "city": "Dos Palos",
            "state": "CA",
            "postal_code": "936202329",
            "country_code": "US",
            "telephone_number": "209-392-0022",
            "fax_number": "209-392-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODLIN",
        "first_name": "JOSHUA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E6269",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "073866",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD001062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.